scholarly journals Assessment of balance, gait, lower limb strength and functionality in sarcopenic and non-sarcopenic elderlies

Author(s):  
Alice Martins Magalhães ◽  
Daniella Macedo Cerceau ◽  
Kênia Kiefer Parreiras de Menezes ◽  
Gabriela Vieira Oliveira ◽  
Bárbara Batista Gomes

Background: Sarcopenia is the involuntary loss of muscle mass predicted by aging and is associated with an increased likelihood ofunfavorable results, such as falls, mortality and functional disabilities. Objective: Evaluate balance, gait speed, lower limb strength andfunctionality in sarcopenic and non-sarcopenic elderly. Methods: Cross-sectional study, carried out with 68 subjects aged 60 years orover, residents of the community and possessing an independent gait. The assessment instruments were bioimpedance, balance test,four-meter gait speed test, chair support test and SPPB. Results: The prevalence of sarcopenia in the population of the present studywas 43.3%. In the group of non-sarcopenic subjects, a correlation was found between all the variables evaluated. In the group ofsarcopenic subjects, a correlation was found between lower limbs strength and gait speed. Conclusion: The skeletal muscle mass ofa sarcopenic elderly is related to their lower limb strength and gait speed, but it does not present a significant correlation with balanceand functional performance. Further studies are needed to clarify the behavior of balance, gait speed, lower limb strength and functionalperformance variables when compared to the decrease in muscle mass inherent in aging.

Author(s):  
Rossana Gomez-Campos ◽  
Ruben Vidal-Espinoza ◽  
Luis Felipe Castelli Correia de Campos ◽  
Cynthia Lee Andruske ◽  
Jose Sulla-Torres ◽  
...  

The Horizontal Jump (HJ) is a daily tool that could be used to categorize the level of muscle fitness performance of the lower limbs. The goal was to compare the muscle fitness with those of international studies and to propose percentiles to assess the HJ performance of children and adolescents. A cross-sectional study was conducted. A total number of 3023 children and adolescents between the ages of 6.0 to 17.9 were studied. Weight, height, waist circumference (WC), and lower limb muscle fitness were evaluated. The student HJ performance values in Chile were inferior when compared to HJ performance in Brazil, Poland and Europe. For the Greek study, differences occurred only from age 6 to 15 years old. In comparison to Colombia, students showed better muscle fitness performance. These differences appeared in childhood and lasted until the beginning of adolescence. Percentiles were created to assess the lower limb fitness being an easy tool to be used and applied to classify lower limb strength.


Author(s):  
Carlos M. Arango-Paternina ◽  
Jhon F. Ramírez-Villada ◽  
Annie A. Tibaduiza-Romero ◽  
Leonardo Rodríguez-Perdomo

The identification of social network factors associated with gait speed may offer different perspectives for improving community and clinical interventions for older adults. The objective of this study was to explore the associations of the social network of friends with gait speed. This was a cross-sectional study conducted in a sample of 128 older adult women recruited in community groups of physical activity. Clinical screening, social network questions, body composition evaluation, and gait speed test were applied to the participants. Logistic regression models were used to analyze associations between characteristics of the social network of friends and high gait speed. Findings indicated that social isolation was not associated with high gait speed and that popularity and proportion of friends with high gait speed were significantly associated with high gait speed. Findings suggested that there was a relationship between social network factors and the ability to perform high gait speed.


2019 ◽  
Vol 7 (5) ◽  
pp. 232596711984797 ◽  
Author(s):  
Takuya Omodaka ◽  
Takashi Ohsawa ◽  
Tsuyoshi Tajika ◽  
Hiroyuki Shiozawa ◽  
Syogo Hashimoto ◽  
...  

Background: Osgood-Schlatter disease (OSD) is characterized by traction apophysitis of the tibial tuberosity. Few studies on symptomatic and asymptomatic OSD have correlated findings with clinical examination. Purpose: To investigate the relationship between lower limb tightness and practice time among adolescent baseball players with symptomatic OSD. Study Design: Cross-sectional study; Level of evidence, 3. Methods: The study participants were 402 male baseball players (N = 804 knees) with a mean ± SD age of 10.9 ± 1.5 years (range, 7-14 years). Participant age, height, body weight, body mass index, practice time per week, range of motion of the hip and ankle joints, heel-buttock distance (HBD), and straight-legged raise angle were evaluated. Tibial tuberosity development, as assessed with ultrasonography, was classified into 4 stages: cartilaginous, apophyseal, epiphyseal, and bony. Knees that were classified as apophyseal or epiphyseal were investigated. Participants were divided into 3 groups: non-OSD, asymptomatic OSD, and symptomatic OSD. Results: Of 400 knees in the apophyseal and epiphyseal stages, 23 knees had asymptomatic OSD, and 11 had symptomatic OSD. Players with symptomatic OSD practiced for significantly longer than the non-OSD group ( P = .001) and asymptomatic OSD group ( P = .001). Players with symptomatic OSD also had a larger HBD ( P = .006) and smaller range of motion regarding internal rotation of hip ( P = .023) and dorsiflexion of the ankle ( P = .013) than the non-OSD group. Conclusion: Players with symptomatic OSD had longer practice times than the non-OSD and asymptomatic OSD players. Symptomatic OSD was also associated with tightness of the lower limbs as assessed by the HBD and range of motion in the hip and ankle joints.


2011 ◽  
Vol 129 (6) ◽  
pp. 410-413 ◽  
Author(s):  
Angélica Castilho Alonso ◽  
Guilherme Carlos Brech ◽  
Andréia Moraes Bourquin ◽  
Julia Maria D'Andréa Greve

CONTEXT AND OBJECTIVE: Maintainance of postural balance requires detection of body movements, integration of sensory information in the central nervous system and an appropriate motor response. The purpose of this study was to evaluate whether lower-limb dominance has an influence on postural balance. DESIGN AND SETTING: This was a cross-sectional study conducted at Faculdade de Medicina da Universidade de São Paulo (FMUSP) and at Hospital do Coração (HCor). METHODS: Forty healthy sedentary males aged 20 to 40 years, without any injuries, were evaluated. A single-foot balance test was carried out using the Biodex Balance System equipment, comparing the dominant leg with the nondominant leg of the same individual. The instability protocols used were level 8 (more stable) and level 2 (less stable), and three instability indices were calculated: anteroposterior, mediolateral and general. RESULTS: The volunteers' mean age was 26 ± 5 years (range: 20-38), mean weight 72.3 ± 11 kg (range: 46-107) and mean height 176 ± 6 cm (range: 169-186). Thirty-four of them (85%) presented right-leg dominance (defined according to which leg they used for kicking) and six (15%) had left-leg dominance. There were no significant differences between the dominant and nondominant legs at the two levels of stability (eight and two), for any of the instability indices (general, anteroposterior and mediolateral). CONCLUSION: The lower-limb dominance did not influence single-foot balance among sedentary males.


2018 ◽  
Vol 22 (6) ◽  
pp. 459-466 ◽  
Author(s):  
Larissa Tavares Aguiar ◽  
Ludimylla Brennar Alves Camargo ◽  
Lorena Dasdores Estarlino ◽  
Luci Fuscaldi Teixeira-Salmela ◽  
Christina Danielli Coelho de Morais Faria

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 96S
Author(s):  
Henrique Mansur ◽  
Guilherme Gonçalves Feijó Carvalho ◽  
Isnar Moreira de Castro Júnior

Introduction: Plantar fasciitis is an inflammatory process of multifactorial etiology that affects the origin of the plantar fascia and surrounding structures. A difference in length between lower limbs is relatively common within the population and can sometimes cause changes in biomechanics and symptoms. The objective of this study is to evaluate the relationship between lower limb dysmetria and plantar fasciitis. Methods: A cross-sectional study was performed to measure the length of the lower limbs by scanometry in patients diagnosed with plantar fasciitis. Other risk factors, such as body mass index, foot shape and the presence of plantar calcaneal spur, were also assessed in foot radiographs. Results: Of the 54 patients included in the study, 44.4% were men, and the mean age was 50.38 (23-73 years); 81.5% had pain in one foot, and 53.7% had feet that were considered plantigrade. We observed dysmetria in 88.9% of the sample, with a mean of 0.749 cm (SD ±0.63). In addition, 46.3% feet with pain showed calcaneal spurs on the radiographs. Conclusion: Approximately 90% of patients showed lower-limb dysmetria and, in most cases, the side with the shorter limb was affected by plantar fasciitis


Bionorte ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 82-88
Author(s):  
Géssica Priscilla de Oliveira Queiroz

Objective:to evaluate the strength and balance of women over 50 years old, with osteoporosis,Pilates practitioners,in the city of Pirapora -MG. Materials and Methods: it is a descriptive, cross-sectional study, with conveniencesampling, represented by 10 elderly women with osteoporosis,who practice Pilates. Lower limb strength was assessed by means ofthe Sit and Stand test;static balance, byusing the Flamingo Position test;and dynamic balance,withthe Timed Up and Gotest. Results:the Sit and Stand Chair test,with an average of 8.4±2.7 repetitions, indicated “risk zone” for the development of dependence on activities of daily life. In the Flamingo Position test, the most frequent oscillation values were fixed at the “Strong” level,with 4.2±1.4 oscillations in60 seconds, indicating good performance. The Timed Up and Gotest presentedperformances inan average of 12.7±2.4 seconds, indicating “low risk for falls”. Conclusion:elderly women with osteoporosis, Pilates practitioners, presented weakness of the lower limbs but good static and dynamic balance. Even with a low risk of developing falls, they remain in the “risk zone” to develop dependence on daily activities.


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